We were in the exact same boat as you a few months ago. My dd sees the same doctors. Dr. B wants to work toward getting her off unnecesary drugs. (of course I want that too) And Dr. J was feeling that we needed to see a psychiatrist and add in something. I didn't have a psychiatrist for dd and the waiting list is 6 months out in my area. My family doctor was willing to try one of Dr. J's recommendation. (didn't work for my dd) Dd was already on an ssri per our family doctor and seemed like a good fit for her but I didn't know if the other suggestion might help even more. We tried changing to the drug Dr. J suggested with poor results so we went back to the original drug she was on.
What it came down to for me, was trusting my gut. I felt my dd was in a place that we could handle without getting a psychiatrist (who likely won't understand the lyme connection) involved. Also, I don't feel she is ready to be weaned off her ssri, like dr. B would like. So, for now, we are sticking where we are at, following that trial.
This was my internal struggle. Dd was struggling, so tired of ocd, and I felt I could not live with myself if I didn't feel like I had done everything in my power to make her life easier. (esp. should the unthinkable happen) At the same time, she'd been through much worse and seemed to be every so slowly, improving...so I felt like if we could just get through a couple more months of lyme treatment and get her life a little more stable (her best friend moved, etc) that things would smooth out and she would be okay on the medications she was already on.
So, in the end, I did try Dr. J's suggestion which didn't work for my dd. It took another couple weeks on her previous treatment to get back to where she was before we stopped the ssri she was on. (sigh, but you never know till you try) In the end, dd was glad to be back on her old ssri. Things at school smoothed out. Dd made new friends. and just like i had hoped, she turned another corner in her treatment of lyme and really moved forward aftering it seemed like she had been on a plateau for a long time. Thank God!
So, good news on our front....moving in a positive direction still, albeit slowly. Dd moved back into her bedroom 2 nights ago. First time since she started herxing after beginning lyme treatment almost 2 years ago. (she's been on the couch for probably 3 out of the last 4 years) It was just too hard to go upstairs with her ocd. Not saying it is easy for her, but I think she feels she is ready to stay in her own room now. We got her a new bed, cleaned up her mess, and she is happy to be there. I am relieved to see progress. So many things to be thankful for.